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25 10th St ERES21-0232 Replace Meter . 1 L., ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ERES21-0232 j CITY OF ATLANTIC BEACH ISSUED: 9/24/2021 (�J 800 SEMINOLE ROAD `'=;i) ATLANTIC BEACH. FL 32233 EXPIRES: 3/23/2022 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies,or federal agencies. JOB ADDRESS: I PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 25 10TH ST ELECTRICAL RESIDENTIAL Replace Meter $500.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170263 0090 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: MATT VU ELECTRIC 4701 HOOD ROAD JACKSONVILLE FL 32257 OWNER: ADDRESS: 1 CITY: STATE: ZIP: AMARRB LLC 3604 RIVER HALL DR JACKSONVILLE FL 32217-4243 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. FEES ,.,..sa ,ys,.. , DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$94.00 Issued Date:9/24/2021 1 of 2 Cl... - ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER J 'l ERES21-0232 .. CITY OF ATLANTIC BEACH ,../.) 800 SEMINOLE ROAD ISSUED: 9/24/2021 �`"'t��` ATLANTIC BEACH. FL 32233 EXPIRES: 3/23/2022 Issued Date:9/24/2021 2 of 2 /--.1;, Electrical Permit Application f''' **ALI_INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. `` 800 Seminole Rd, Atlantic Beach, FL 32233 - Phone: (904) 247-5826` Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: c5 '-'`Q )'1 � ! h i• ( PROJECT VALUE $1)71 JEA INFORMATION REQUIRED ON ALL PERMITS:?OO AMPS C 7OVOLTS ( PHASE El NEW SERVICE: El Overhead Underground ❑Underground up Pole I:esidential (Main)Service: 00-100 amps D101-150amps 1:1151-200amps 0 amps #of Meters ❑Commercial (Main) Service: 00-100 amps E1101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size ©Multi-Family(Main)Service: 00-100 amps 0101-150amps 1:1151-200amps 0 amps #of Unit Meters El TEMPORARY POLE: amps 0 SERVICE UPGRADE: ❑_ amps ❑CT Service amps fl NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 0 amps ❑cT Service amps ❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS: ❑Swimming Pool ['Sign ❑Smoke Detectors (Qty) ['Transformers KVA ['Motors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps _ REPAIRS/MISCELLANEOUS: Neplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG [Other: updated l0/17/18 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 5 i ^A C ,(� b yanks 67\ Phone Number: to gs T O 22S-Owner Name: �� - `�� lv`� '1.� t"t t� c� � Electrical Company: M PTV � VAC- C-1--k��4)Cpffice Phone: G0 « O g S00I Fax: Co.Address: 1 i 0 17 D , 0 5 ' A J(, ./'Kat- RD City: lACr-Sbik)V I((r State: V-(�-Zip: 322 -7 License Holder: IV.,( ATO^ v A , \/u f — = to C FTi1 ation/Registration#: 4 �-{c /I Notarized Signature of License Holder ;dye ‘) _� The foregoing instrument was acknowledged before me this 2g day of Sr e ) - _ ,20 71, in the S to of Florida,County of DU VAL :�".�"'••. CHRISTIAN GILES Signature of Notary Public c tk • MY COMMISSION#HH 117153 .a. .9` EXPIRES:April 13,2025 [ ] Personally Known OR[ Pr ced Id tification •.,FOFFro•: Bonded ThruNotary Public uderwriters Type of Identification: L. .